Minn. R. agency 196, ch. 9533, pt. 9533.0110 - STAFFING REQUIREMENTS

Subpart 1. Multidisciplinary team.

The certificate holder must provide integrated treatment through a multidisciplinary team of persons who are either employed by or have a written agreement to provide services for the certificate holder. The multidisciplinary team must include:

A. a prescribing provider who is one of the following:

(1) a psychiatrist licensed as a physician under Minnesota Statutes, chapter 147, and certified by the American Board of Psychiatry and Neurology or eligible for board certification;

(2) a primary care physician licensed under Minnesota Statutes, chapter 147, who works in consultation with a psychiatrist as defined in subitem (1); or

(3) a psychiatric nurse with prescribing authority who meets the requirements of Minnesota Statutes, section 245.462, subdivision 18, clause (1);

B. an integrated treatment team leader who meets the requirements of part 9505.0371, subpart 5, item D, subitems (1) to (6), or 9530.6450, subpart 4, and who:

(1) holds a current credential in the realm of integrated treatment from a nationally recognized certification body approved by the commissioner; or

(2) is approved by the commissioner or the commissioner's designated representative as having demonstrated knowledge of both substance use disorders and serious mental illnesses and the complexity of interactions between them, and skills that have been found to be effective in treating individuals with co-occurring disorders;

C. a mental health professional who is qualified in one of the following ways:

(1) a psychiatrist who meets the requirements of item A, subitem (1);

(2) in clinical social work, a person licensed as an independent clinical social worker by the Minnesota Board of Social Work under Minnesota Statutes, chapter 148E;

(3) in psychology, a person licensed by the Minnesota Board of Psychology under Minnesota Statutes, sections 148.88 to 148.98, who has stated to the board competencies in the diagnosis and treatment of mental illness;

(4) in marriage and family therapy, a person licensed as a marriage and family therapist by the Minnesota Board of Marriage and Family Therapy under Minnesota Statutes, sections 148B.29 to 148B.39, and defined in parts 5300.0100 to 5300.0350;

(5) in professional counseling, a person licensed as a professional clinical counselor by the Minnesota Board of Behavioral Health and Therapy under Minnesota Statutes, section 148B.5301;

(6) in psychiatric nursing, a registered nurse who is licensed under Minnesota Statutes, sections 148.171 to 148.285, and meets one of the following criteria:

(a) is certified as a clinical nurse specialist;

(b) for children, is certified as a nurse practitioner in child, adolescent, or family psychiatric and mental health nursing by a national nurse certification organization; or

(c) for adults, is certified as a nurse practitioner in adult or family psychiatric and mental health nursing by a national nurse certification organization;

(7) a tribally approved mental health care professional, who meets the standards in Minnesota Statutes, section 256B.02, subdivision 7, paragraphs (b) and (c), and who is serving a federally recognized Indian tribe; or

(8) for programs certified as adult rehabilitative mental health services under Minnesota Statutes, section 256B.0623, a person with a master's degree from an accredited college or university in one of the behavioral sciences or related fields, with at least 4,000 hours of post-master's supervised experience in the delivery of clinical services in the treatment of mental illness;

D. a care coordinator who provides the services described in part 9533.0020, subpart 3;

E. a licensed alcohol and drug counselor as described in Minnesota Statutes, section 148F.01, subdivision 5, or a counselor who otherwise meets the training, experience, and other requirements in part 9530.6450, subpart 5; and

F. in programs for adults:

(1) a certified peer specialist; or

(2) a recovery coach who holds a current credential from a recognized certification body approved by the commissioner. This item is effective July 1, 2016.

Subp. 2. Staffing.

A. Each multidisciplinary team member must provide an average of at least eight hours per week of integrated treatment within the program.

B. If a team member fulfills the requirements for more than one of the types of multidisciplinary team professionals required in subpart 1, items A to F, then the team member may fulfill the roles of two multidisciplinary team professionals. Only one team member may fulfill two roles.

C. Team members may provide integrated treatment through telemedicine.

D. A client may elect to receive psychiatric services from a provider who is not a member of the multidisciplinary team but with whom the client has a preexisting relationship. If the client does so, the multidisciplinary team must provide related care coordination according to part 9533.0120, subpart 6.

Subp. 3. Competency.

Screening, assessment, and integrated treatment must be provided by staff who have demonstrated competency in their scope of practice.

Subp. 4. Documentation of qualifications.

The certificate holder must maintain all staff qualification documentation in the employee's personnel file or other appropriate personnel record.

Notes

Minn. R. agency 196, ch. 9533, pt. 9533.0110

38 SR 523

Statutory Authority: MS s 245.4863